Individual
JORDAN DESTINY BRADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC MHSP, LPCC
Contact information
Practice address
117 HUXLEY RD STE B-3, KNOXVILLE, TN 37922-3179
(865) 237-6979
Mailing address
117 HUXLEY RD STE B-3, KNOXVILLE, TN 37922-3179
(865) 237-6979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
295819
KY
101YM0800X
Mental Health Counselor
Primary
4450
TN
101YP2500X
Professional Counselor
4450
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
295819
LICENSE
KY
01
—
4450
LICENSE
TN
Enumeration date
07/12/2019
Last updated
03/13/2025
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